NPI Profile for MICHELLE CLARKE in LITHONIA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
EEG |
2472E0500X | 75 | Slide Preparation Facility | |
Nurse's Aide |
376K00000X |
| NPI Number | 1184132177 |
|
| Status | Active | |
| Credentials | CPT , CNA | |
| Entity | Individual | |
| Enumeration date | 01/12/2018 | |
| Last updated | 01/22/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHELLE CLARKE
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